Indice de disponibilité et de capacité opérationnelle des services de santé (SARA) Mauritanie 2018
Mauritania, 2018
Reference ID
MRT-MOH-SARA-2018-vFINAL
Producer(s)
Ministry of Health
Created on
Jan 25, 2022
Last modified
May 24, 2022
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Identification
Survey ID Number
MRT-MOH-SARA-2018-vFINAL
Title
Indice de disponibilité et de capacité opérationnelle des services de santé (SARA) Mauritanie 2018
Translated Title
Availability Index and Operational Capability Readiness and Operational Capability (SARA) Mauritania 2018
Country
| Name | Country code |
|---|---|
| Mauritania | MRT |
Study type
Service Availability and Readiness Assessment Mapping Survey [HFA/SARAM]
Abstract
A third edition of the Service Availability and Readiness Assessment (SARA) survey was implemented by the Ministry of Health of Mauritania in 2018 with technical support from the World Health Organization (WHO). The SARA 2018 aimed to assess the availability and operational capacity of health services to provide quality care throughout the national territory. Specifically the survey's objectives were to: assess the availability of health services in the facilities at all levels of care; measure the availability of basic equipment; assess the availability of drugs and other medical products; assess the availability of treatment guidelines and diagnostic tools; and assess the operational capacity of health facilities to provide specific health services such as child health, reproductive health, malaria, tuberculosis and HIV/AIDS.
The census covered 1,016 public and private health facilities across the country. Data collection started in November 2018 and was completed in December 2018.
This report covers the following categories of indicators:
1. General service availability and readiness
• Basic amenities and comfort elements
• Basic equipment
• Standard precautions for infection prevention
• Diagnostic capacity
• Essential medicines
2. Service specific availability and readiness
• Family planning
• Prenatal
• Basic obstetrical care
• Comprehensive obstetric care
• Immunization services
• Preventive and curative care services for the child
• Adolescent health services
• Maternal, newborn and child health services (MNCH)
• Malaria control services
• HIV/AIDS counselling and testing services
• Tuberculosis
• HIV/AIDS care and support services
• Antiretroviral drugs (ARVs) and medical follow-up of patients
• PMTCT
• Sexually transmitted infections
• Diabetes
• Diagnosis and management of cardiovascular diseases
• Chronic respiratory diseases (CRI)
• Cervical cancer
• Non-communicable diseases (NCDs)
• Basic surgical services
• Comprehensive surgery
• Blood transfusion
• Advanced diagnostics
The census covered 1,016 public and private health facilities across the country. Data collection started in November 2018 and was completed in December 2018.
This report covers the following categories of indicators:
1. General service availability and readiness
• Basic amenities and comfort elements
• Basic equipment
• Standard precautions for infection prevention
• Diagnostic capacity
• Essential medicines
2. Service specific availability and readiness
• Family planning
• Prenatal
• Basic obstetrical care
• Comprehensive obstetric care
• Immunization services
• Preventive and curative care services for the child
• Adolescent health services
• Maternal, newborn and child health services (MNCH)
• Malaria control services
• HIV/AIDS counselling and testing services
• Tuberculosis
• HIV/AIDS care and support services
• Antiretroviral drugs (ARVs) and medical follow-up of patients
• PMTCT
• Sexually transmitted infections
• Diabetes
• Diagnosis and management of cardiovascular diseases
• Chronic respiratory diseases (CRI)
• Cervical cancer
• Non-communicable diseases (NCDs)
• Basic surgical services
• Comprehensive surgery
• Blood transfusion
• Advanced diagnostics
Kind of Data
sample survey data[ssd]
Unit of Analysis
Health facilities
Version
Version Description
Final report
Version Date
2019-03-01
Scope
Notes
The SARA survey is designed to generate a set of core indicators on key inputs and outputs of the health system, which can be used to measure progress in health system strengthening over time. The SARA focuses on three main areas: service availability, general service readiness and service-specific readiness.
A basic approach to SARA is to collect data that are comparable both across countries and within countries (i.e. across regions and/or districts) using a standard core questionnaire developed by WHO in collaboration with the United States Agency for International Development (USAID). Usually, a country adopts the standard core questionnaire with adaptations to certain elements such as types of facilities, managing authority of facilities, national guidelines for services, staffing categories and national policies for medicines (e.g. for tuberculosis, HIV/AIDS). The SARA survey requires visits to health facilities with data collection based on key informant interviews and observation of key items. The survey can either be carried out as a sample or a census; the choice between these methodologies will depend on a number of elements including the country's resources, the objectives of the survey and the availability of a master facility list (MFL).
A basic approach to SARA is to collect data that are comparable both across countries and within countries (i.e. across regions and/or districts) using a standard core questionnaire developed by WHO in collaboration with the United States Agency for International Development (USAID). Usually, a country adopts the standard core questionnaire with adaptations to certain elements such as types of facilities, managing authority of facilities, national guidelines for services, staffing categories and national policies for medicines (e.g. for tuberculosis, HIV/AIDS). The SARA survey requires visits to health facilities with data collection based on key informant interviews and observation of key items. The survey can either be carried out as a sample or a census; the choice between these methodologies will depend on a number of elements including the country's resources, the objectives of the survey and the availability of a master facility list (MFL).
Coverage
Geographic Coverage
Nationally representative
Universe
The survey covered 1,016 public and private health facilities in Mauritania
Producers and sponsors
Primary investigators
| Name |
|---|
| Ministry of Health |
Producers
| Name | Role |
|---|---|
| World Health Organization | Technical support |
Funding Agency/Sponsor
| Name | Role |
|---|---|
| The Global Fund | Funding |
Sampling
Sampling Procedure
Sample size for this survey was 1,016 public and private health facilities represented at national level. The sample was stratified by type of facility with stratum 1 as hospitals, stratum 2 as health centres and stratum 3 as health posts. The selection was mixed, either random or a census draw.
Data Collection
Dates of Data Collection
| Start | End |
|---|---|
| 2018-11-20 | 2018-12-12 |
Data Collection Mode
Face-to-face [f2f]
Data Collection Notes
Training of survey teams comprising 48 surveyors, 14 monitors, and 9 supervisors was conducted between November 1-4, 2018. The survey pilot was carried out at the end of the training.
Questionnaires
Questionnaires
The SARA core questionnaire overview is as follows:
Section 1: Cover page
Section 2: Staffing
Section 3: Inpatient and observation beds
Section 4: Infrastructure
Section 5: Available services
Section 6: Diagnostics
Section 7: Medicines and commodities
Section 8: Interviewers observations
Section 1: Cover page
Section 2: Staffing
Section 3: Inpatient and observation beds
Section 4: Infrastructure
Section 5: Available services
Section 6: Diagnostics
Section 7: Medicines and commodities
Section 8: Interviewers observations
Metadata production
DDI Document ID
DDI-MRT-SARA-2018-vFINAL
Producers
| Name | Abbreviation | Role |
|---|---|---|
| World Health Organization | WHO | Documentation of assessment |
Date of Metadata Production
2021-11-14
DDI Document version
Final version